[化学性胸交感神经切除术治疗雷诺综合征的经验]

[Experience in treatment of Raynaud's syndrome by chemical thoracic sympathectomy].

作者信息

Zhao Jun, Dong Guo-xiang, Luan Jing-yuan

机构信息

Department of vascular surgery, Peking University Third Hospital, Beijing 100083, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2003 Nov 25;83(22):1943-5.

PMID:14703426

Abstract

OBJECTIVE

To summarize the experience in treatment of Raynaud's syndrome with chemical thoracic sympathectomy (CTS) guided by X ray.

METHODS

From March 2001 to December 2002,35 cases (66 limbs) of Raynaud's syndrome were treated by CTS. Guided by X ray, a needle was punctured through the back skin to the second or third thoracic sympathetic ganglion beside the thoracic vertebrae and 2 ml of 5% phenol was injected.

RESULTS

The first CTS treatment produced an excellent effect on 32 limbs, good effect on 12 limbs, and no effect on 22 limbs with an effective rate of 66.7% (44/66). The same treatment was performed on the limbs without effect 1 - 2 days after the first treatment and produce excellent effect on 2 limbs, good effect on 6 limbs, and no effect on 14 limbs with an effective rate of 36.4% (8/22). The efficiency rate of the first hospitalization was 78.8%. The effective rate of treating primary Raynaud's disease by CTS was 88.5% and that of treating secondary one was 42.8%. 85% of the patients were followed up for 9 months on average with an efficiency rate of 61%.

CONCLUSION

CTS is mini-invasive, cheap, easy to popularize, and a relatively ideal choice in treatment of Raynaud's syndrome. Complications can be minimum only if the operation is performed carefully.

摘要

目的

总结X线引导下化学性胸交感神经切除术（CTS）治疗雷诺综合征的经验。

方法

2001年3月至2002年12月，采用CTS治疗35例（66肢）雷诺综合征患者。在X线引导下，经背部皮肤穿刺针至胸椎旁第二或第三胸交感神经节，注入2 ml 5%苯酚。

结果

首次CTS治疗，优32肢，良12肢，无效22肢，有效率66.7%（44/66）。首次治疗后1 - 2天对无效肢体再次行同样治疗，优2肢，良6肢，无效14肢，有效率36.4%（8/22）。首次住院有效率78.8%。CTS治疗原发性雷诺病有效率88.5%，继发性有效率42.8%。85%的患者平均随访9个月，有效率61%。